PLEASE READ THE FOLLOWING CAREFULLY. BY CLICKING BELOW, YOU ARE GIVING UP CERTAIN LEGAL RIGHTS.

I certify the following:

I voluntarily wish to participate in the 2015 "Sleepless America San Diego" event ("Event") sponsored by the San Diego Rescue Mission ("Rescue Mission"). I understand that the Rescue Mission holds the Event for the purpose of raising funds and increasing awareness of the plight of the homeless in our community.

My participation consists of sleeping outdoors on a cot or cardboard with a large group of other participants (sleeping overnight is optional), and I understand that not all of the participants will sleep -- some may elect to stay up talking, playing games, reading or engaging in other activities. I also understand that there will be a central stage from which presentations and speeches will be made, and that music and other entertainment may also be presented. I understand that I am responsible for bringing my own sleeping bag or blanket, and to wear clothing that I feel is sufficiently warm and comfortable.

I understand that the Rescue Mission and others who are sponsoring, organizing, supplying and participating in the Event are relying on my representations, release and waiver contained in this Agreement.

I agree to the use of my name and/or photograph in broadcasts, newspapers, brochures, and other media without compensation.

I certify that I voluntarily wish to participate in the Event and that I am aware of the risks associated with participating in the Event, including, risks arising from the weather, my own physical condition and the actions or conduct of spectators or other participants. In consideration for participating, I assume all risks associated with participating in the Event. I agree that if I am injured, become ill or die while participating in or as a result of having participated in the Event, I release, waive any claim against and will not sue the Rescue Mission, any promoter, sponsor, organizer, official, volunteer or any other person or entity in any way connected with the Event (including directors, officers, agents, employees, contractors, suppliers and vendors of any of the foregoing), even though my injury, damage or death may be caused by or result from negligence or carelessness on their part.

I grant permission to the persons and entities named above to use photographs, video tapes, motion pictures, recordings or other records of the Event in which my image or likeness appears.

I agree that this waiver and release binds me and my heirs, distributees, guardians, legal representatives, successors and assigns.

I HAVE CAREFULLY AND COMPLETELY READ THE FOREGOING. ALL OF MY QUESTIONS HAVE BEEN ANSWERED TO MY FULL SATISFACTION. I AM AWARE THAT I AM GIVING UP CERTAIN LEGAL RIGHTS.